Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Aelicia Fran Green

Individual provider Peer Specialist · NPI 1366097636

Aelicia Fran Green is a Peer Specialist in Tahlequah, Oklahoma. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

110 Leoser St
Tahlequah, OK 74464-7032
Phone: (918) 506-0192
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X

Record details

NPI number1366097636
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 5, 2019
Last updated in NPPESAugust 5, 2019

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